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North Carolina rates for HCPCS A4351

Intermittent urinary catheter; straight tip, with or without coating (Teflon, silicone, or silicone elastomer, etc.), each

Facilitymedian $2 · 10th–90th $1–$40%10%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $2.04 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.88 / $2.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $2.14
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.20 / $1.70
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $2.04 / $3.24
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $1.05 / $1.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $1.07 / $1.70
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $16.22